108 TABLE A.

| Case I AGE AND SEX | 3 23 NATIONALITY... ae | Abyssinian DuURATION oF ILLNESS 2 years, Autumn, ’05. Died Nov. 6th, 07 | VILLAGES aND Towns Addayagi (Hrithrea), | WHERE ILL Kassala, Golsa, (Name underlined Kagsala, Debelweit, where first ill) Kassala | TYPE oF FEVER . Temperature usually sub-normal. Occasional rises to 101° to 105° for 1 to 2 days Type or Parasites Considerable num- | (Splenic Puncture) bers, mainly free. | Long oval forms | mainly PERIPHERAL BLoop... No malaria. No | Leucocytosis. No, parasites in white | cells i LivER... Not enlarged, apparently reduced in size SPLEEN 1 inch below umbilicus URINE... . Albumen | Bile absent COMPLICATIONS Diarrhea. No pain J AUNDICE . Absent. Conjunctive, yellow | CEDEMA Feet (terminal) | TREATMENT Quinine no effect. Heavy and increasing doses of | HgCl, useless PERIODS OF Yes IMPROVEMENT PIGMENTATION . None .

Houser INFECTION Single. All living in HIsToRy hosh well. No bugs | found | OBSERVATIONS ON KALA-AZAR IN KASSALA PROVINCE KALA-AZAR. (Parasite Found) Case II Case IIT Case IV 3 25 | 325 3 26 Egyptian Abyssinian Arab, Maria Tribe 34 months, Oct., 07. Died Feb. 4th, ’08 Kassala High fever 4 weeks, then 98° to 99° for 5 weeks — then higher fever,seldom coming to normal Few well-developed parasites No malaria. Leucopeenia. sites in white cells Enlarged. Two fingers’ breadth below costal margin 11 inch below costal margin Albumen absent Bile absent | Pseudo - diphtheritic tonsillitis. Duodenal ulcers, with epigastric pain Absent. Conjunctive, yellow Absent Quinine apparently beneficial at first. Later Atoxyl and HgCl, injections to- | gether with Fuchsine pills Yes None Single. Other soldiers healthy, but much malaria. | No bugs 5 No para- | 24 years, Autumn, ’05 Azzein Karkabel, Kassala (Erithrea), Intermittent fever, | Well developed, none found in cells | No malaria, Leucopeenia, almost mononuclears Not enlarged inch below umbilicus. Tender 1 Albumen trace | Bile Very collapsed. Died 5 days after admission. No pain | !

| Feet (terminal) Admitted Aug. 14th, | 1907, with fever. | 30 grs. and injec-| quinine | | given. Temperature — tions of Died Dec. 22nd, ’07 | followed by normal | all | |8 months, Aug., ’07.

Died Mar. 24th, ’08 Mafaza Glodet, High intermittent fever Extremely few found. Pigment collection No malaria.

Leucopeenia 'Enlarged 1} inch | below costal margin | 2 inches below costal margin | Albumen ; Bile | ' Pains in shin bones.

Kpistaxis Legs (terminal) | Quinine had no effect.

| Atoxyl and sublimate injections together with Fuchsine pills normal after 8 days | \ | and patient discharged well. Readmitted Dec. 18th, 1907 | Yes, very marked | | None Single. No definite | abode Yes None | Single. Case Y. lived in police lines. Bugs denied >